WAKEMED SPECIALISTS GROUP LLC
NPI 1790343366
Pediatrics - Neonatal-Perinatal Medicine in Raleigh, NC

Active since May 30, 2019
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7846(919) 350-8147 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2019, May 30, 2019 (2 updates tracked since 2019).

About Wakemed Specialists Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEMED SPECIALISTS GROUP LLC (NPI 1790343366) is a healthcare organization registered as a neonatal-perinatal medicine in Raleigh, North Carolina and active in the NPI registry since May 2019. The organization lists Karen Revicki Perry, Sled, as its authorized official.

NPPES Registry Identity

NPI1790343366
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameWAKEMED SPECIALISTS GROUP LLC
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0552 · Fax (919) 350-7687
Fax(919) 350-8147
Organization SubpartNo
Authorized OfficialKaren Revicki PerrySled · (919) 350-8000
Enumeration DateMay 30, 2019
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1790343366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X
3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Other NameWakemed Childrens Special Infant Care

Other Identifiers 1

Medicaid1790343366NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wakemed Specialists Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

995

Medicare enrollment records show 995 clinicians reassign Medicare billing to Wakemed Specialists Group LLC, which bills Medicare for the services they deliver. Of these, 304 practice at this address and 608 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner224
Internal Medicine132
Obstetrics/Gynecology62
Pediatric Medicine60
Physical Therapist in Private Practice49
Cardiovascular Disease (Cardiology)44
General Surgery40
Hospitalist40
41 other specialties344

Nearest to this location (20)

See all 995
General Surgery
NPI 1679581011
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7251
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255440186
3024 NEW BERN AVE NEONATOLOGY DEPT.
Raleigh, NC 27610
(919) 350-8545
✔ PECOSSame address
Urology
NPI 1588688642
3024 NEW BERN AVE STE 302
Raleigh, NC 27610
(919) 350-6090
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1750959706
3024 NEW BERN AVE STE 200
Raleigh, NC 27610
(919) 350-3277
Same address
Gastroenterology
NPI 1750348769
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-5318
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1700914603
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7844
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1730753559
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7844
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1245324243
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-7331
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073193355
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-1700
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1770732497
3024 NEW BERN AVE STE 102
Raleigh, NC 27610
(919) 350-7331
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1336428580
3000 NEW BERN AVE
Raleigh, NC 27610
(479) 441-3396
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1700096161
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1780905059
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1134564669
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1447228283
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-0008
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1083164545
3000 NEW BERN AVE
Raleigh, NC 27610
(336) 689-4633
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1396928966
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1275052565
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-0554
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1508887068
3000 NEW BERN AVE STE 1130
Raleigh, NC 27610
(919) 350-7600
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1134388051
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts MedicareSame address
See all 995 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wakemed Specialists Group LLC's NPI number?

The NPI number for Wakemed Specialists Group LLC is 1790343366. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is also known as WakeMed Childrens Special Infant Care.

Where is Wakemed Specialists Group LLC located?

Wakemed Specialists Group LLC is located at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7846.

What is Wakemed Specialists Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Wakemed Specialists Group LLC enrolled in Medicare?

Yes. Wakemed Specialists Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wakemed Specialists Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 995 clinicians in 49 Medicare specialties reassign their Medicare billing to Wakemed Specialists Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (224), Internal Medicine (132) and Obstetrics/Gynecology (62). Of these, 304 practice at this address and 608 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wakemed Specialists Group LLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Wakemed Specialists Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wakemed Specialists Group LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.